| NPI | 1891569604 |
|---|---|
| Doing Business As | CENTER FOR COMMUNITY HEALING |
| Entity Type | Organization |
| Authorized Contact | SHANNON NEIMEKO Owner 608-628-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |